Principles and Evidence

TrainFES is a new standard of tele-rehabilitation for users with neurological pathologies with motor compromise in which we facilitate the use of state-of-the-art technology at home.

Our technological development consists of an advanced functional electrostimulation system, a home training methodology and remote virtual support.

With electrostimulation we can control paralysed parts of the body in a coordinated way to encourage the motor relearning of neurons, also known as neuroplasticity.

Users are first trained in the use of the technology and an intensive initial stage of functional training is initiated, which empowers users in their therapies and increases adherence to long-term training. Users can train daily at home in a safe and effective way, which achieves better motor and sensory recovery results than conventional therapy.

Consult your doctor

TRAINFES is indicated for the following pathologies:

Spinal cord pathologies

Spinal cord injury, incomplete, with spasticity or complete without peripheral damage, paraplegia and tetraplegia. Spinal cord infarction. Pelvic floor treatment: children and adults. Transverse myelitis. Spina bifida or myelomeningocele.

Cerebral cortex pathology

Cerebral palsy. CVA (cerebrovascular accident), ischaemic or haemorrhagic, with hemiparesis or hemiplegia. ECT (traumatic brain injury) without severe cognitive impairment. Treatment of dropfootdropfoot or clubfoot.

Others with prior medical assessment

Multiple Sclerosis (but not ALS). DAD (diffuse axonal damage). Facial paralysis of central origin. Swallowing disorders. Parkinson's (benefits in reducing freezing episodes and in some cases bradykinesia). Guillain-Barré. Ataxia


Some contraindications include:

Peripheral damage. Tumour or cancer undergoing active chemotherapy and radiotherapy. Intense pain when applying electrostimulation that prevents visible muscle contraction. Unconsolidated fracture. Low orthostatic tolerance or autonomic dysreflexia and presence of the same during use. Known osteoporosis with history of fracture or severe osteoporosis. Severe cognitive and communication impairment. Uncontrolled epilepsy. History of cardiac arrhythmia with haemodynamic instability. Vascular alterations. Pacemaker. Deep vein thrombosis (DVT) or uncontrolled thromboembolism. West Syndrome. Pregnancy. Myositis. severe arthritis Pressure ulcers (bedsores) or other types of lesions in the area where the electrodes are positioned, you should wait until the tissue heals. Other contraindications that may be indicated by your doctor.

A physiatric assessment is carried out prior to the start of any programme.

Health benefits

Training that improves your quality of life

Rehabilitation with TrainFES minimises the risk of possible complications associated with paralysis (thrombosis, bedsores and infections). It benefits the cardio-metabolic system, regulates muscle tone (reduces spasticity and/or increases muscle trophism as needed), reduces pain. Pelvic floor specialist therapies can reduce catheter use.


Functional electrostimulation allows the second motor neuron to activate the user's paralysed muscles and generate a functional movement in accordance with an explicit intention on the part of the user. By combining different training routines, TrainFES encourages the neuromuscular relearning of healthy neurons, with the aim of regaining lost motor functions (or even encouraging early learning, for example in paediatric cases). This differs from other types of stimulation (TENS, EMS) in that it is not a simple repetition, but requires the user to devise the movement and actively participate in the exercises.



  • 1. The brain and spinal cord are like a single system of neural connections. This is known as the central nervous system.



  • 2. If the central nervous system is damaged, neurons die and connections are lost. This prevents the passage of information to the body and causes paralysis, but...



  • 3. There are hundreds of billions of neurons, close to the number of stars in the Milky Way, and they have the capacity to change roles.



  • 4. Functions can be "rewired" in other ways, sometimes recovering lost functions.



  • 5. The central nervous system sends electrical signals to the muscles and if there is a lesion in a pathway the brain cannot send the signal.



  • 6. TRAINFES stimulates neurons directly and contracts the musculature by delivering feedback to the central nervous system. This encourages neuroplasticity in the neurons.

Daily Training

10 times more than conventional

Our home training methodology allows us to increase the frequency of training and accelerate therapy progress according to the potential of each user. We develop individualised training plans to ensure that users can access effective therapy every day.

Traditional Recovery

Traditional Recovery



Functional electrostimulation

In particular, how electricity is applied

Our specialists train users in the use and positioning of electrodes. Electricity generates controlled muscle contractions of paralysed parts of the body. You can safely execute coordinated movements that will encourage motor relearning.

Dr. Cherie Gutierrez

"Wehave made much more rapid progress in the rehabilitation of stroke patients".

Dr. Cherie Gutierrez

Physiatrist Physiatrist Director of the Dávila Clinic Management Department

Dr. Raul Smith

"It isafundamental tool for neurorehabilitation".

Dr. Raul Smith

Physiatrist, Teleton Physiatrist, Clínica Alemana

Dr. Carolina Rivera

"Thetreatment period is shortened".

Dr. Carolina Rivera

Physiatrist Physiatrist President Chilean Society of Physical Medicine and Rehabilitation

Milton Morgado

"Ithas allowed us to accelerate the recovery.

Milton Morgado

Clinical Teaching Kinesiologist Hospital San José de Maipo (MINSAL referent)

Scientific Evidence FES

Alarcón A. Sebastián, Sánchez O. Barbara, Manzur V Hachi, Torres E Julio. Effects of a therapy based on bimanual activation functional electrical stimulation combined with electromyographic biofeedback training on the motor function of the paretic upper extremity in subjects with stroke sequelae. Revista chilena de neuro-psiquiatría. 2020 Jun; 58( 2 ): 150-160.

Varas-Diaz G, Bhatt T. Application of neuromuscular electrical stimulation on the support limb during reactive balance control in persons with stroke: a pilot study. Experimental Brain Research. 2021 Oct 5:1-3.

Gil-Castillo J, Alnajjar F, Koutsou A, Torricelli D, Moreno JC. Advances in neuroprosthetic management of foot drop: a review. Journal of NeuroEngineering and Rehabilitation. 2020 Dec;17(1):1-9.

Taylor MJ, Schils S, Ruys AJ. Home FES: an exploratory review. European Journal of Translational Myology. 2019 Oct 29;29(4).

Luo S, Xu H, Zuo Y, Liu X, All AH. A review of functional electrical stimulation treatment in spinal cord injury. Neuromolecular medicine. 2020 Jan 8:1-7.

Howlett OA, Lannin NA, Ada L, McKinstry C. Functional electrical stimulation improves activity after stroke: a systematic review with meta-analysis. Archives of physical medicine and rehabilitation. 2015 May 1;96(5):934-43.

Medrinal C, Combret Y, Prieur G, Quesada AR, Bonnevie T, Gravier FE, Lozeron ED, Frenoy E, Contal O, Lamia B. Comparison of exercise intensity during four early rehabilitation techniques in sedated and ventilated patients in ICU: a randomised cross-over trial. Critical care. 2018 Dec;22(1):110.

Embrey DG, Alon G, Brandsma BA, Vladimir F, Silva A, Pflugeisen BM, Amoroso PJ. Functional electrical stimulation improves quality of life by reducing intermittent claudication. International journal of cardiology. 2017 Sep 15;243:454-9.

Article: Bobath Under Fire

Contact us to quote for an implementation in your institution.

Telerehab model, ambulatory, post-critical, ICU